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{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/G8_F3.jpg"}},{"insert":"\n\nArriving at Virginia\u0027s room, you note that she is conscious, rational and fully oriented. Her pulse is 100 bpm and her blood pressure is 100\/70 mmHg. A quick review of her charts show that just one hour ago, her pulse was 80 bpm and blood pressure 120\/80 mmHg.\n\nOn examination, the uterus feels boggy and poorly contracted. There is active vaginal bleeding. Based on the number of blood soaked swabs, you roughly estimate that she must have lost around 500 mL of blood so far. Via careful inspection of the vulva, vagina, and cervix, you exclude local trauma as the cause of the bleeding.\n\nYour capable team has already started oxygen via face mask. They have also inserted a wide-bore cannula and started a normal saline drip. Once you complete your examination, they elevate Virginia\u0027s legs as well. You ask them to call the blood bank and reserve two units of matched packed red cells. You also order an urgent full blood count and coagulation profile.\n"}]}